CASE REPORT

Patient details:

Name: Ujjwala pandit DOB: 21-10-2005 Date: 30/06/25

Sex: Female Age: 19
Marital status: child
Father’s/ husband’s name: Kunal pandit
Address: [Link]
Current living status: with family occupation: student
Type of family: Nuclear Family
Referral: self

INFORMANT'S DATA:
Name: Malvika pandit
Age: 47
Sex: female
Marital status: Married
Relation with the patient: mother
Address: Gr. Noida
Occupation: - house wife
CHIEF COMPLAINTS:
From patient From relatives

Anxiety extreme Anxiety hampering

Negative thoughts
Migrane due vomiting
Lack of motivation

HISTORY OF PRESENT ILLNESS:

Duration of illness: +10 years
Sleep: midnight disturbance
Diet: decreased

DESCRIPTION OF PROBLEM: In 2020, she was in class 10th, and

that time COVID comes. She takes tension due to board exams.
Due to mom, she takes science side. In class 11th and 12th,
neet exam preparation. She takes drop in school. She is afraid of
school. She tries to prepare herself for college life. She locks the
room. She isolates herself. She has no friends. She is lying in
school. Due to light in classroom and voice in classroom. Due to
which her friends circle laugh on her. She is suffering from exam
anxiety, social anxiety, and school phobia. Struggling with
extreme anxiety and overthinking especially before and during
exams. Such anxiety and phobia which often lead to physical
symptoms like migraine and vomiting. She is introvert. She has
few friends and fear going to school. She is emotionally
sensitive and deeply attached to her younger sister. Due to
outgoing stress and academic pressure, she feels mentally
exhausted. She tries to study heavily and depends on her
parents for emotional support. The student's situation is further
complicated by her introverted nature, making it challenging for
her to express her feelings or seek help from others. Her deep
attachment to her younger sister and reliance on her parents
for emotional support can be both a source of comfort and a
potential burden. The pressure to perform well academically,
coupled with her fear of school and social anxiety, has taken a
toll on her mental health, leading to feelings of isolation and
exhaustion. To address these issues, a comprehensive approach
might be necessary, including counseling or therapy to develop
coping strategies, build self-confidence, and improve her overall
well-being.

PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal): OCD and
social anxiety, exam anxiety is diagnosed
Drugs/ alcohol/ smoking: (what/ how much/ since when): N.A.
Any suicidal attempt: N.A.
Mental retardation: crying

PERSONAL HISTORY:
Perinatal history: C-section, cord round one
Early development history: bed wetting is long (4 to 5 yrs), sleeping
restlessness
Educational history: school phobia
Sexual history: N.A.
Occupational history: doubt for future options

FAMILY HISTORY: She lived with her father mother and her
younger sister. She is deeply attached to her sister and
dependent on her parents for emotional support. Her mother
take her academy decision
Pedigree drawing:
Marital Status: nil
Premorbid personality:
# introvert
# dependent on mom selecting things
MENTAL STATUS EXAMINATION:
GENERAL APPEARANCE AND BEHAVIOR: grooming , hand shake
Facial expressions: appropriate
Eye to eye contact: maintained
Posture: guarded
Psychomotor activity: tremors in hands, rolling her arms
Rapport: maintained
MOOD AND AFFECT:
Objective effect : emotionally weak
Subjective affect: anxiety a lot hopeless
Intensity: decreased
Range: constricted
Type: sad, anxious

SPEECH :
Intensity: soft
Pitch: monotonous
Tone: slow
Reaction time : slow
Deviation: loosing of associations
Content: helplessness , content of phobia

PERCEPTION:
Illusions: N.A.
Cognition: present
Attention: present
Concentration: present

MEMORY:
Abstract thinking: present
Judgement: test judgement, social judgment
Insight: the patient is aware about her illness and seeking treatment.

PLAN AND MANAGEMENT:

Diagnosis: anxiety
Depression
Personality issue
Social phobia

Treatment : CBT
To address overthinking, exam anxiety and negative self perception
Personality session
Personality development sessions help you gain self-awareness, build
confidence, and develop skills to improve relationships and achieve
personal and professional growth. They enhance emotional intelligence,
communication, and overall well-being.
Behaviour therapy
Behavior therapy helps individuals identify and change negative
thought patterns and behaviors to improve mental health and well-
being. It aims to develop healthier coping skills and emotional
regulation.
Parents counseling
Parenting counseling helps parents develop effective parenting skills,
strategies, and techniques to improve relationships with their children
and address behavioral issues. It promotes healthy child development
and family dynamics.

TEST: Anxiety test

Depression test
Personality test ( 5 factor)
 CASE REPORT
Patient details:

Name: Vivek Gupta DOB: 05/12/1980 Date: 01/04/25

Sex: male Age: 46
Marital status: married
Father’s/ husband’s name: Surrender pal Gupta
Address: NRI city
Current living status: with family occupation: working
Type of family: Nuclear
Referral: Dr. Parika

INFORMANT'S DATA:
Name: Sonal
Age: 45
Sex: female
Marital status: married
Relation with the patient: wife
Address: NRI city
Occupation: - house wife

CHIEF COMPLAINTS:
From patient From relatives

# Different in thought. # Religions (say truth)

# Reaction of husband is over
# Abusing. # husband lies
# rise hand on wife.

HISTORY OF PRESENT ILLNESS:

Duration of illness: more than 6 months
Sleep: normal
Diet: normal

DESCRIPTION OF PROBLEM:
She often accuses him of lying, and she doesn't trust him due to trust
issues with her husband. They shifted away from his parents' house in
2013, but after marriage, he started treating her poorly and abusing her
verbally, which was shocking for her since her parents never fought at
home.
Her sister-in-law had a dominating nature. Sonal followed traditional
norms closely, like sitting below elders, covering her head, and other
things that frustrated her greatly. They had many arguments over family
matters, and Sonal would often say nasty things, like abuses and insults,
which would provoke Vivek to physical violence.

PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal):
relationship Counselling “ek bole to dusra chup rhe”
Drugs/ alcohol/ smoking: (what/ how much/ since when): no
Any suicidal attempt: yes many time
Mental retardation:
Fight
Abuse
Anger
Violence
Hyperactive

PERSONAL HISTORY:
Perinatal history: normal
Early development history: appropriate to age
Educational history: normal
Sexual history: wife try to having baby in age of 45 yrs. specially baby
boy, she said shiv ji came in her dreams and said her that she gave birth
to a baby boy and he will become a PM of India
Occupational history:
Husband has to visit out of India for 2-3 months for works.
FAMILY HISTORY:
He lived with nuclear family
His wife and his daughter, both husband wife relationship is not
good
They facing issues in their relations
He also physically abusive to his wife
His wife missed his father, his wife always follow strict culture
and customs
His 16 yrs daughter has kidney problem.
Pedigree drawing:
Marital Status: married
Premorbid personality: (wife)
# spiritual
# dependent
# trying to be honest

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: over emotional display
Facial expressions: look attentive
Eye to eye contact: maintains gazes
Posture: wife was dehydrated due to fasting
Psychomotor activity: restlessness, negativism, stupor
Rapport: maintained

MOOD AND AFFECT:

Objective effect : irritable and upset
Subjective affect: sad
Intensity: increased
Range: expanded
Type: sad/ anxious/apathy

SPEECH :
Intensity: soft
Pitch: abnormal changes
Tone: rapid
Reaction time : fast
Deviation: flights of ideas
Content: (husband) – obsession , helplessness.
(Wife)- delusion (religion bases) helplessness and worthlessness

PERCEPTION:
Illusions: over faith on Hindu god, specially in shiv ji
She said he came into her dreams
Cognition: intact
Attention: intact
Concentration: present

MEMORY:
Abstract thinking: present
Judgement: test judgement- impaired
Similarities and differences – present
Insight: aware about illness ad due to external factor

PLAN AND MANAGEMENT:

Diagnosis: understanding issues
Personality issues
Anger issues
Family issue
Family background issue
Treatment : CBT
Relationship session
Child counselling
BT
TEST:
Depression
PTSD
Anxiety
TAT
Relationship test (both)
 CASE REPORT
Patient details:

Name: Sahaj
Date: 12-04-2025
Sex: Male Age: 29
Marital status: Single
Father’s/ husband’s name: Mandhir kakar
Address: 54 [Link] green woods
Current living status: With family occupation: Business
Type of family: Nuclear
Referral: doctor

INFORMANT'S DATA:
Name: Mandhir kakar
Age: 72
Sex: Male
Marital status: married
Relation with the patient: father
Address: green wood omega
Occupation: Retired
CHIEF COMPLAINTS:
From patient From relatives

• Overthinking
• Mood swings • Impulsive
• Spend money • Irresponsible
• Restlessness
• Relationship

HISTORY OF PRESENT ILLNESS:

Duration of illness: More than 1 yr
Sleep: Normal
Diet: Increased
Predisposing factors: Childhood trauma
Precipitating factors: relationship and spend money
Perpetuating factor: anxiety and mood swings
Protective factors: he is aware about his mental health

DESCRIPTION OF PROBLEM:
He is currently running a business .has invested a significant
amount of money into establishing a business studio. According
to the psychiatrist, he exhibits impulsive behavior.
In December 2024, he traveled to Mumbai without informing
his parents; it was a sudden and unplanned trip. His mother
reports that he lacks a sense of responsibility. He also struggles
with sexual addiction, including excessive consumption of
online pornography and engaging in paid sexual encounters. He
has also been involved in casual sexual relationships, including
friends with benefits.
In October 2024, he disclosed this behavior to his girlfriend and
stated that he had since recovered. However, he now suspects
that she is involved with a married man, and that she began this
relationship after he stopped visiting her—without offering him
any explanation. In addition to these issues, he has shown
patterns of excessive spending, particularly on his business and
online shopping.

PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal):
psychologist visit and IQ test results 102 or more than.
Drugs/ alcohol/ smoking: (what/ how much/ since when): smoking per
day and alcohol occasionally and weat monthly
Any suicidal attempt: No
Mental retardation: Impulsive behaviour

PERSONAL HISTORY:
Perinatal history: C-section
Early development history: liver issue and jumping the words at 8yrs
Educational history: got 78% in 12th.
Sexual history: sexual urge and spend money to watch porn and
masturbate 10 times a day.
Occupational history: fashion photographer

FAMILY HISTORY:
According to their parents he is not responsible towards their
business and spend a lot of family. Once a while go to Bombay
without telling to their parents.

Pedigree diagram:
Marital Status: Single
Premorbid personality: Introvert.

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: Regression or childish
behaviour.
Facial expressions: look attractive
Eye to eye contact: Maintain
Posture: sit on edge
Psychomotor activity: psychological pillow
Rapport: Maintain

MOOD AND AFFECT:

Objective effect : Mood swings

Subjective affect: Impulsive

Intensity: Decrease
Range: Constricted
Type: Sad, anxious, irritate, Apathy

SPEECH :
Intensity: Soft
Pitch: Abnormal changes
Tone: Rapid
Reaction time : Slow
Deviation: Neologism and blocking
Content: Content of phobia, helplessness and worthlessness.

PERCEPTION:
Illusions: N.A
Hallucinations: N.A
Depersonalization: N.A

COGNITION:
Consciousness: present
Attention: present
Concentration: present

MEMORY:
Abstract thinking: present
Judgement: N.A
Insight: True emotional insight.

PLAN AND MANAGEMENT:

Diagnosis: Irresponsible, addiction of porn, poor management of
money.
Plan: Management of money, socially active Treatment
:
•CBT(Cognitive Behavioral Therapy) is a structured, evidence-based
form of psychotherapy that helps individuals identify and change
unhelpful patterns of thinking and behavior.
•BT(Behavior Therapy) is a type of psychotherapy that focuses
specifically on modifying observable and measurable behaviors. It is
based on the principles of learning theory, especially classical
conditioning, operant conditioning, and modeling.
•personality development session is a structured program or counseling
session designed to help individuals enhance various aspects of their
personality—such as communication skills, confidence, emotional
intelligence, and behavior—in order to achieve personal and
professional growth.
•Relationship session is a type of counseling or therapeutic session
designed to help individuals or couples improve the quality of their
relationships. These sessions focus on communication, trust, emotional
connection, conflict resolution, and understanding each other’s needs.
TEST:
• Personality test
• Depression
• Anxiety
• Sex attitude Scale
• TAT
 CASE REPORT
Patient details:

Name: Sanchita DOB: 16/12/2003 Date: 24/04/2025

Sex: female Age: 21
Marital status: In relationship
Father’s/ husband’s name: Chandra Mohan
Address: paramount Golf Foreste, Greater Noida
Current living status: Alone(in live-in) occupation: self
employed
Type of family: Nuclear Family
Referral: self

INFORMANT'S DATA:
Name: Shivam
Age: 19
Sex: Male
Marital status: single
Relation with the patient: Boyfriend
Address: Paramount Golf Foreste
Occupation: business start up
CHIEF COMPLAINTS:
From patient From relatives

Shouting Easily gets angry

She cry thinking about her past
Thinks about her past
Fear of judgement

HISTORY OF PRESENT ILLNESS:

Duration of illness: 6 months
Sleep: midnight disturbance, scared, sleeping paralysis
Diet: normal

DESCRIPTION OF PROBLEM:
The client's first romantic relationship was with a boy who was a friend
of her best friend. During the course of the relationship, the boy's
mother passed away. After her death, the boyfriend blamed the patient
for the loss, which caused her significant emotional distress.
The client has physical disabilities-her legs are uneven in length, which
impacts her ability to walk properly, and she has limited mobility in one
of her hands. Approximately three years ago, she left her home and
enrolled in a Bachelor of Arts in Designing. However, she eventually
dropped out due to ongoing feelings of being judged and a persistent
fear of social evaluation.
At the age of 19, while in a long-distance relationship (the patient was
living in Ghaziabad and her partner in Uttarakhand), she experienced an
unplanned pregnancy. Her partner instructed her to undergo an
abortion, promising to marry her afterward. The client proceeded with
the abortion independently, covering all expenses herself. This occurred
during the second month of the pregnancy.
Following the abortion, the client experienced ongoing emotional and
verbal abuse from her mother. Her mother has frequently expressed
regret and disappointment, often stating that the patient was never her
choice and referring to her with highly derogatory language, including
calling her a "panauti" (a bearer of bad luck). These repeated verbal
assaults have deeply impacted the patient's psychological well-being,
and she often reports vivid dreams in which her mother physically
harms her.
In her current relationship with her boyfriend, Suraj, the client has
formed a strong emotional bond with their dog. A recent disagreement
involving the dog led to the decision to relocate the pet to the patient's
parental home. This event was emotionally upsetting for the patient
and resulted in her crying extensively. She has expressed that she feed
intensely judged when others see her in emotional states, which
exacerbates her distress and feeling of vulnerability.

PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal): health
issues
Drugs/ alcohol/ smoking: (what/ how much/ since when): occasionally
Any suicidal attempt: self harm
Mental retardation: anger issues

PERSONAL HISTORY:
Perinatal history: hump in back it was removed by a surgery after
birth
Early development history: issue in walking
Educational history: in school, Suraj was making fun of her on her walk,
said “you walk like panda” then she complain with her parents then
they also said “ what’s wrong” and laugh also.
Sexual history: normal
Occupational history: self- employed

FAMILY HISTORY:
She lived with his boyfriend in live-in. In her family she has mother
father brother and sister. When her mother knows about her
pregnancy, she starts attack verbally she also call as a panauti .
Pedigree drawing:

Marital Status: live-in

Premorbid personality:
# introvert
# self doubt
# avoid social interaction

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: over emotional display
Facial expressions: avoidance
Eye to eye contact: maintain gazes
Posture: sitting at the edge of the chair, slow
Psychomotor activity: facial movement, tremors in hand, self- injurious,
stupor
Rapport: maintained

MOOD AND AFFECT:

Objective effect : crying,sad
Subjective affect: in trauma
Intensity: decreased
Range: expanded
Type: sad, anxious, apathy

SPEECH :
Intensity: soft
Pitch: monotonous
Tone: slow
Reaction time : slow
Deviation: loosing of associations
Content: delusion, phobia, suicidal thoughts,

PERCEPTION:
Illusions: sleeping paralysis
Cognition: present
Attention: present
Concentration: present

MEMORY:
Abstract thinking: present
Judgement: present
Insight: awareness of being sick blame on external factor

PLAN AND MANAGEMENT:

Diagnosis: post-traumatic stress disorder
Treatment : CBT therapy
BT therapy
Personality session
TEST:
PTSD
Depression test
Anxiety test
TAT
Personality Test
 CASE REPORT
Patient details:

Name: Tanay Sharma. DOB:4/5/1994 Date:

07/07/25
Sex: Male Age: 30
Marital status: Single
Father’s/ husband’s name: [Link]
Address: P-3
Current living status: with family occupation: student
Type of family: Nuclear Family
Referral: Self
INFORMANT’S DATA
Name-
Relation with patient-
CHIEF COMPLAINTS:
From patient From relatives

Anger issues N/A

HISTORY OF PRESENT ILLNESS:
Duration of illness: 2019
Sleep: late night insomnia
Diet: normal

DESCRIPTION OF PROBLEM: From December 2022 to February

2023, he stayed in Greater Noida for a two-month tattoo
course. He experienced anger after being blamed by someone
and was generally unorganized during his student life. He
initially joined Amity University for a Law program in 2012 but
was detained due to short attendance. At that time, he was
absent-minded, lacked motivation, stayed in a hostel, and was
influenced by bad company with no real friendships. Later, he
enrolled in Manipal jaipur University for a BBA in 2013 but again
faced issues with attendance and poor peer relationships. He
eventually completed both his graduate and post-graduate
studies in BBA with a diploma in Digital Marketing. He worked
in academic counselling in Noida. During a psychiatric session,
he expressed that doctors only communicated with his parents
and didn’t explain things to him. He mentioned not wanting to
get married, preferring only to be in a relationship. His last
breakup occurred because the girl shifted to another place.
Currently, he is learning drawing skills by attending drawing
classes.
PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal):
Arifeine(15),Riseon Plus,Hexylent(2)
Drugs/ alcohol/ smoking: (what/ how much/ since when): yes(
Alcohol-mostly drinking, whisky half bottle,smoke-1 packet per day, 4
time beer, 3 bottle
Any suicidal attempt: No
Mental retardation: Back off, quite all time

PERSONAL HISTORY:
Perinatal history: Normal
Early development history: - he isn’t aware about this
Educational history: Average (in class 7-8th take too much holidays.
Sexual history: yes (during relationship)
Occupational history: frequently changes his job

FAMILY HISTORY: He lived with his mother and father, he is

single child of his parents
Pedigree drawing:
Marital Status: Single
Premorbid personality: Hobbies- sports, tattoo training, travelling
Character- Reserved, Isolated, like to live alone, cats

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: body bulid.
Facial expressions: not appropriate
Eye to eye contact: maintain
Posture: slow
Psychomotor activity: tremors in hands, falt facial expressions
Rapport: maintained

MOOD AND AFFECT:

Objective effect : like stay alone, silent
Subjective affect: reserved
Intensity: decreased
Range: constricted
Type: sad

SPEECH :
Intensity: soft
Pitch: monotonous
Tone: slow
Reaction time : slow
Deviation: loosing of associations
Content: worthlessness, mood incongruent

PERCEPTION:
Illusions: present
Cognition: present
Attention: present
Concentration: present

MEMORY:
Abstract thinking: similarity, difference
Judgement: social judgment
Insight: client is aware about illness but not for treatment

PLAN AND MANAGEMENT:

Diagnosis: having anger issues, which impact on relationship and his
daily life
Treatment : anger management techniques like meditation, relaxation,
deep breathing and communication skills.
CBT therapy, Personality session behavior therapy, Exposure

TEST: personality test, depression test, mood disorder, schizophrenia,

bipolar.
 CASE REPORT
Patient details:

Name: Lakshay Sharma

DOB: 22/4/1993
Sex: male Age: 31
Marital status: married
Father’s/ husband’s name: R.k Sharma
Address: B-186 sigma 2 [Link]
Current living status with family occupation: private job
Type of family: joint family
Referral: self
CHIEF COMPLAINTS:
From patient From relatives

Relationship issues with wife

Understanding issues

HISTORY OF PRESENT ILLNESS:

Duration of illness: after baby born
Sleep: normal
Diet: . Normal

DESCRIPTION OF PROBLEM:
The couple in question had a love marriage in the year 2020 after being
in a relationship since childhood and falling in love in 2019. Their bond,
built over many years, led them to believe they could overcome all
challenges together. In 2024, they welcomed their first child. a baby
boy, who is currently nine months old.
Despite living in the same household, significant conflict has arisen,
causing the wife to live separately on the first floor while the husband
stays elsewhere in the home. The main source of marital distress
appears to stem from ongoing issues with the husband's family-
particularly his mother and brother. The wife reports facing constant
emotional strain due to her mother-in-law's controlling behavior and
verbal disrespect. Additionally, there have been instances of both verbal
and physical abuse directed toward her by the mother-in-law and
brother-in-law, especially in relation to household responsibilities and
property-related disagreements. These ongoing tensions have made her
feel unwanted and isolated within the family environment. She believes
that the root of the problem began even before her marriage, as her in-
laws never fully accepted her. Since the marriage, however, the
situation has worsened considerably. According to her, the mother-in-
law and brother-in-law frequently try to provoke conflicts and have
even demanded that she leave the house permanently. These persistent
negative dynamics have taken a toll on her emotional well-being and
are now impacting the couple's relationship and the peaceful
upbringing of their newborn child. The ongoing hostility, lack of familial
support, and unresolved conflicts have created a toxic living
environment, making it difficult for the couple to maintain marital
harmony and jointly care for their child in a stable and nurturing
atmosphere.

PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal): no
Drugs/ alcohol/ smoking: (what/ how much/ since when): no
Any suicidal attempt: due to these issues he try to suicide
Mental retardation: shouting and yelling during arguments

PERSONAL HISTORY:
Perinatal history: normal
Early development history: normal
Educational history: normal
Sexual history: normal
Occupational history: none

FAMILY HISTORY:
He lived with his family members in which he has father Mother
and his brother
He is married he also have a daughter
He is facing issues in married life, he can’t pay proper attention
to their wife and daughter,he always give importance to her
mother . He not want to take responsibility of her wife and
daughter.

Pedigree drawing:
Marital Status: married ,he is not responsible depends oh his mother
Premorbid personality: dependent personality

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: normal
Facial expressions: normal
Eye to eye contact: normal
Posture: normal
Psychomotor activity: normal
Rapport: normal

MOOD AND AFFECT:

Objective effect : complaining nature
Subjective affect: unable to take responsibility
Intensity: increased
Range: expanded
Type: anxious and anger

SPEECH :
Intensity: soft
Pitch: monotonous
Tone: rapid
Reaction time : appropriate
Deviation: flight of ideas
Content: helplessness and worthlessness

PERCEPTION:
Illusions: none
Cognition: N/A
Attention: present
Concentration: present

MEMORY:
Abstract thinking: nil
Judgement: nil
Insight: client is aware about the illness cause of external factor

PLAN AND MANAGEMENT:

Diagnosis: relationship issues, family adjustment issues
Treatment : psychological assessment
Individual therapy
Couple therapy
Family counseling
 CASE REPORT
Patient details:

Name: Akash Singh DOB: 09/05/1999 Date: 07/06/25

Sex: Male Age: 26
Marital status: Single
Father’s/ husband’s name: Ajay Vir Singh
Address: C-217, Delta Greater Noida
Current living status: With Family
Type of family: nuclear
Referral: Self

Informant’s data
Name:
Relationship to the patient

Chief Complaints:
From patient From relatives
 • Stress N.A.
• Anxiety
• Day dreaming

History of present illness

Duration of illness: 10 YRS
Sleep: normal
Diet: Decreased

Description of problem:
The client is unable to talk with boys, specially girls. feeling of loneliness,
no personal room , Since school and college, client found it hard to
make close friendships or approach someone they're interested in. client
would notice girls but never approached, they have 2.5 years of work
experience, earn well, and manage savings , this shows they are
responsible, stable, and disciplined. client also planning a trip, which
shows they're trying to break out of routine and explore new
experiences. They often daydream about having a girlfriend, going on
trips together, or getting married. He is a very shy person and has a
lot of issues talking to girls. He loves video games. He has two
sisters, neither of whom are married yet. The younger one is
ready for marriage, but it hasn’t happened because of the older
one. Akash has negative thoughts about himself, which causes
him stress. In his first job, he didn’t earn enough money, but
he’s satisfied with his current job. Akash wants to get married,
but he’s afraid if he’ll find a good partner or not.

Past history:
Psychiatric : medication, anxiety attack.
Drugs/ alcohol/ smoking (what/ how much/ since when): alcohol-
occasionally
Any suicidal attempt: In Covid,he was in depression at that time, ‘He
felt he will die’
Mental retardation: Start walk, and panic attack

Personal history:
Perinatal history: C-Section
Early development history: Normal
Educational history: B-Tech in mechanical, In class 5th he was good
Social anxiety starts from class 6th academically weak.
Sexual history: Masturbation ,watching porn-content foreign
Weakly -7 days 1 time with watching porn.
Occupational history: satisfied.
Family history:
Akash belongs to a nuclear family. He has two sisters, and no one listens
to him at home. His sisters aren’t married yet because the older one
isn’t married, which is holding back the younger one’s marriage, even
though she’s willing. Akash has recently planned a trip with his sister for
August.

Pedigree Drawing :

Marital status: Plan to marry at 30 age

Premorbid personality: Social phobia, hobbies painting guitar, cartoon,
unable to speak .

MENTAL STATUS EXAMINATION

General appearance and behavior : regression, childlike behavior.
Facial expressions: over smiling
Eye to Eye contact : maintain gazes
Posture: slow, relaxed
Psychomotor activity: over smiling on response, excitement
Rapport: Maintain
Mood and affect
Objective affect : Personality issues over happiness
Subjective affect : Personality social phobia
Speech: soft intensity, abnormal changes in pitch, slow tone and
appropriate reaction time
Deviation : loosing of association
Content: worthlessness
Perception : day dreaming
Illusions: not present
Cognition: conscious of time, place and person
Attention: normal
Memory: normal immediate and recent memory
Abstract thinking: Proven testing ,similarities and difference.
Judgement: test judgement , social judgement
Insight: emotional insight, aware about illness need treatment

Plan and management:

Therapy: CBT
Behavioral therapy
Personality session
Psycho sexual therapy
 Relationship session
Tests: Depression test
Anxiety test
TAT (day dream)
Phobia Test
ASTS
 CASE REPORT
Patient details:

Name: Aksh Mishra DOB: 28/12/06 Date: 11/05/25

Sex: Male Age: 19 yrs
Marital status: Single
Father’s/ husband’s name: Ashutosh Mishra
Address: Ghaziabad
Current living status: with family occupation: student
Type of family: Nuclear Family
Referral: Another patient

INFORMANT'S DATA:
Name: Ashutosh Mishra
Age: 45
Sex: male
Marital status: Married
Relation with the patient: father
Address: Ghaziabad
Occupation: [Link]

CHIEF COMPLAINTS:
From patient From relatives

Experience anxiety and emotional Aggrevise

distress
Feels neglected Grandpa passed
Lack of attention and time from
father

HISTORY OF PRESENT ILLNESS:

Duration of illness: 6-7 months
Sleep: normal
Diet: normal

DESCRIPTION OF PROBLEM: He was very close to his

grandfather, who passed away 20 years ago. After that, he
moved in with his parents. Due to frequent transfers, he
couldn’t form a strong friend circle. He’s academically strong,
scored 92% in JEE, He studied in dummy classes during 11th and
12th with PCM.
He has a business mindset and wanted to get into IIT. However,
relationship conflicts and a tense home atmosphere have
affected his behavior. He gets angry suddenly and speaks
harshly when upset.
He mentioned issues with a relative named Tinku, whose
interference and influence have caused miscommunication and
affected his image in the family. His father says he became
argumentative at a young age and needs to socialize more. He
has been married for 20 years, and his father had once wanted
to marry the same woman, which may have caused additional
tension.
PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal): Vitamin is
high
Drugs/ alcohol/ smoking: (what/ how much/ since when): No
Any suicidal attempt: yes ( due to study pressure & family conflict.
Mental retardation:
Throw things, aggressive angry late realization.

PERSONAL HISTORY:
Perinatal history: Normal
Early development history: Normal, closed to mummy
Educational history: good in studies and want to take admission in IIT.
Sexual history: No
Occupational history: Not clear
He want to take addmission in IIT college
Not in another college
FAMILY HISTORY:
He lived with his family in which there are his father mother
grandmother and one sister. His father doesn’t spend time with him. He
sleep with his parents in night.
His father gave more important to his cousin.
His father and mother married for 20 yrs
His father was forced to do marriage with his mother by his grandfather
Pedigree drawing:
Marital Status: Unmarried
Premorbid personality: easily cry friendly nature

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: Childlike behaviour
Facial expressions: appropriate
Eye to eye contact: maintains gazes
Posture: Guarded
Psychomotor activity: hand movements, body movements, anxious
Rapport: maintained

MOOD AND AFFECT:

Objective effect : No worth
Subjective affect: Emotional, blaming on papa.
Intensity: increased
Range: expanded
Type: sad, blunted,apathy.

SPEECH :
Intensity: soft
Pitch: childish speech
Tone: slow
Reaction time : app.
Deviation: flight of ideas
Content: mood congruent, suicidal thoughts.

PERCEPTION:
Illusions: normal
Cognition: present
Attention: present
Concentration: present

MEMORY:
Abstract thinking: proverb testing- present
Similarities and differences- present
Judgement: present
Insight: aware about his problem but, not accepting the treatment

PLAN AND MANAGEMENT:

Diagnosis: Anxiety
Treatment : Family counselling therapy,
Personality counselling therapy
Relationship Counselling (parents)
CBT session
BT session
Relationship session
Father should start spend time with him.
TEST: Personality test
Depression test
Anxiety test
Phobia
Relationship test
 CASE REPORT
Patient details:

Name: Suhani Pawar DOB: 05/03/2000 Age: 25 years

Date: 11/06/2025
Sex: Female
Marital status: Unmarried
Father’s/ husband’s name: Sunil kumar
Address: Omicron-2,Greater Noida
Current living status: With family
Occupation: Unemployed/Not working
Type of family: Nuclear
Referral: Self

INFORMANT'S DATA:
Name: Arpit Chaudhary
Age: 21 years
Sex: Male
Marital status: Unmarried
Relation with the patient: Brother
Address: Hathras,Up
Occupation: Employed
CHIEF COMPLAINTS:
From patient From relatives

OCD

HISTORY OF PRESENT ILLNESS:

Duration of illness: Since Childhood
Sleep: traumatized dream
Diet: She faced difficulty in studying in UPSE.
She left the previous job because it was unethical.

DESCRIPTION OF PROBLEM:
She was always a very focused and particular girl, especially when it came to cleanliness. Even
during harsh winters, she would insist on washing her hands, driven by a deep sense of discipline
or perhaps internal anxiety about hygiene. Her parents often tried to reassure her, even going as
far as to say that bathing or constant handwashing wasn't necessary, gently counseling her to
ease up. Her romantic journey began early. In 4th standard, she had her first boyfriend—a
childish relationship that ended quickly. Later, in 9th and 10th standard, she was in a relationship
with a senior boy from 11th standard. That relationship ended painfully when he not only
cheated on her but also body-shamed her, targeting her legs in particular, leaving a lasting mark
on her self-esteem. Unfortunately, her experiences in college mirrored this pattern. She had
romantic interactions with boys during her BSc studies, but those relationships also turned into
bad experiences, reinforcing her trust issues and emotional vulnerabilities. An unexpected
moment came when she accidentally reconnected with one of her exes through Snapchat, which
stirred up old emotions and memories. Around this time, her mother grew suspicious of her,
doubting her virginity and hyper-fixating on possible signs of pregnancy. This created a
distressing atmosphere at home, where instead of emotional support, she faced invasive
questions and [Link] of the most traumatic moments in her romantic life occurred
during a video call with a partner while in college. When asked to remove her top on camera, she
felt deeply harassed and humiliated. The emotional impact was so overwhelming that she broke
down in tears. That incident left a deep scar, reinforcing feelings of shame and confusion
surrounding intimacy and trust. Despite these experiences, she continues to carry herself with
resilience, though the emotional weight of past betrayals, body image issues, and familial
mistrust still lingers.

PAST HISTORY:
Had a boyfriend during 4th standard (broke up),had another
boyfriend during 10th standard (broke up when he cheated on
her).He body shamed her (legs) Had romantic relationships
during college (bad experience (s) with boy(s) ).
Met her ex again through snapchat(accidentally).
And her mother doubted her virginity and hyper fixated related
pregnancy symptoms.

Psychiatric (dates/ complaints/ treatment/ medical/ legal):

Drugs/ alcohol/ smoking: (what/ how much/ since when): Drugs Only
once time with Dhiraj.
Any suicidal attempt: no
Mental retardation: Obsessive behaviour compulsive behaviour

PERSONAL HISTORY:
Perinatal history:
Early development history: normal
Educational history:
• BSc Student
• Had a boyfriend in 9th and 10th std Her boyfriend is senior he is in
11th std he cheated on her and body shamed her.
• College experience with boys turned out to be similar.
Sexual history:
Felt harassed/embarrassed when asked to strip her top on video
call , with her partner when she is in college (started crying).
Occupational history: preparing for upsc

FAMILY HISTORY:
She lived with her parents her mother and father. Her mother
doubt her virginity when she miss her periods.
Pedigree drawing:
Marital Status: Unmarried
Premorbid personality:
- Obsessive
- Compulsive
- Open to new experiences
- Naive

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: Clothes appropriate to
season, endomorphic, grooming.
Facial expressions: Look attentive
Eye to eye contact: Maintain gazes
Posture: Guarded
Psychomotor activity: Comforting behaviour
Rapport: maintained

MOOD AND AFFECT:

Objective effect : Hyper
Subjective affect: Hyper awareness
Intensity: Increased
Range: Expanded
Type: Blunted

SPEECH :
Intensity: Loud
Pitch: Monotonous
Tone: Rapid
Reaction time : Fast
Deviation: flight of ideas
Content: Obsession

PERCEPTION:
Illusions: normal
Cognition: Normal
Attention: Arousable
Concentration: present

MEMORY:
Abstract thinking: present
Judgement: Social judgment-Medium (Naïve)
Insight: Is aware about her problematic habit (s) and wants to seek
treatment

PLAN AND MANAGEMENT:

Diagnosis: OCD, personality issue, relationship issues
Treatment :
Regular Sleep: Aiming for 7-9 hours of sleep per night can help regulate
mood and reduce OCD symptoms.
Exercise: Cardiovascular exercises like walking, running, or swimming
can help reduce anxiety.
Stress Management: Engaging in stress-reducing activities, such as yoga
or tai chi, can support emotional regulation and focus.
TEST:
• Attitude towards sex scale
• Personality test
• Depression test
• OCD test
• PTSD
• Anxiety test
 CASE REPORT
Patient details:

Name: Anshika Singh DOB: 30/09/1997 Date: 11/09/25

Sex: female Age: 27
Marital status: single
Father’s/ husband’s name: P.K. Singh
Address: H-625 alpha 2
Current living status: alone (in pg) occupation:
student
Type of family: Nuclear Family
Referral: self
CHIEF COMPLAINTS:
From patient From relatives

Overthinking
Trust issues

HISTORY OF PRESENT ILLNESS:

Duration of illness: 6 months
Sleep: midnight disturbance
Diet: normal

DESCRIPTION OF PROBLEM:
She completed her BTech in 3 years, worked for 3 years, and is now
preparing for the UPSC exams. Despite her efforts, her mother suggests
she quit UPSC, which adds to her emotional burden. She tends to
overthink—about her career, family expectations, and relationships—
which makes it difficult for her to make decisions or fully engage
emotionally. Her intense overthinking has held her back from forming a
romantic relationship, even though she deeply wants one. Earlier, she
could study for 14 hours a day, but now it's reduced to 7–8 hours due to
mental fatigue and family stress. Her parents fight frequently, which
affects her emotional stability and focus, prompting her to shift out and
live independently with a roommate for the past six months. She feels
pressure seeing her sister in a successful relationship that led to
marriage, while her own attempt at connection failed—she coulds’t fully
engage with the boy due to her exams, and when he started ignoring
her afterward, she tried to explain, but it was too late. This experience,
combined with her upbringing in a traditional and emotionally complex
home, makes her feel stuck—unsure of how to move forward in studies,
life decisions, or love. She fears turning out like her parents or being
misunderstood, yet she still holds hope for a meaningful relationship
and success, even if overthinking and pressure make the path unclear.

PAST HISTORY:
Psychiatric (dates/ complaints/ treatment/ medical/ legal): -Nil
Drugs/ alcohol/ smoking: (what/ how much/ since when): yes (june
2024- may 2025) Now he has given up drinking from one month.
Any suicidal attempt: No
Mental retardation: sleeping & writing poem

PERSONAL HISTORY:
Perinatal history: normal (breech birth)
Early development history: normal
Educational history: average (in uprth)
Early development history: normal
Educational history: average (in upsc she scored 70%)
Sexual history: virgin
Occupational history: want to do govt. Job

FAMILY HISTORY:
She lived in pg. She have mother father brother and one sister in her
family
Her mother suggest her to quite UPSC
Her parents fight a lot and also physical abuse that’s why she leave her
house and start stay in pg .
Pedigree Drawing:
Marital Status: want to do marriage
Premorbid personality:
Present social friend
Overthinking thoughts
Less explore
Confused

MENTAL STATUS EXAMINATION:

GENERAL APPEARANCE AND BEHAVIOR: clothes appropriate to season,
grooming
Facial expressions: look attentive
Eye to eye contact: maintain gazes
Posture: Relaxed
Psychomotor activity:
Rapport: maintained
MOOD AND AFFECT:
Objective effect : N/A
Subjective affect: none
Intensity: none
Range: none
Type: none

SPEECH :
Intensity: soft
Pitch: monotonous
Tone: slow
Reaction time : appropriate
Deviation: flight of ideas
Content: none

PERCEPTION:
Illusions: nil
Cognition: none
Attention: none
Concentration: nil

MEMORY:
Abstract thinking: not provided
Judgement: none
Insight: aware about the problem

PLAN AND MANAGEMENT:

Diagnosis: self doubt
Personality issues
Treatment :
CBT therapy
Relationship session
Personality session
TEST: Personality test